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Restorative Dentistry

Crown & Bridge

An anterior tooth with multiple tooth-colored fillings look very unnatural and as years go by ‘stain' will appear because at the margin of the fillings. A very large filling on a posterior tooth can easily fracture and in many cases, the tooth can also fracture. In both instances, it is advisable to crown the teeth. A crown is a porcelain “cap” shaped like a tooth which is fixed to the tooth in order to restore the tooth and have a natural and more aesthetic look.

A bridge is two or more crowns fused together and is a fixed prosthesis, unlike a denture. A missing tooth can be replaced with a bridge. The advantages of bridge as compared to denture are that the patient will feel more comfortable because the artificial teeth will only be put at the residual alveolar ridge and soldered to two crowns that act as retainers on either side. There will be no involvement of palate or tongue space as in dentures that can alter the patients' speech or masticators functions.

Inlay/Onlay

Dental inlays and onlays are usually made of porcelain or tooth coloured composite material. This technique is used to repair a substan al damage in tooth structure that does not warrant the fabrica on of a dental crown.

Root Canal Treatment

RCT is a method in conserving a damagedd, decayed and/or infected tooth in order to save it; hence avoiding an extraction. This treatment involves the removal of the infected nerve and soft tissue area inside the tooth and its roots known as the pulp which contains blood vessels, nerves and connective tissues. Once completed, the entire root system is sealed off.

Implant Procedure

Dental implant is the most stable and durable tooth restoration. Implant technology alone cannot guarantee the success of an implant. Technique, skill, experience and the right approach of an Oral Surgeon plays a vital role in implant procedures.

Standard implants of between 3.5mm to 6mm in diameter are used in most implant cases. These implants will support individual crowns and bridge once the implants have fully healed.

Mini implants (of 2.5mm) are often used to support loose dentures resulting from decrease of jaw bones height/depth.

All implant products (implant screw and abutment) are made with high quality titanium or zirconium oxide. Implant material has been improved to increase the rate of success and speed of recovery.

Planning and Pre-op Preparation

The first step towards effective dental care is an accurate evaluation of a patient's dental health and requirements. All this is possible with our state-of-the-art equipment including orthopantomogram (OPG), digital radiography (RVG), intra oral camera (IOC) and experienced dental surgeons to examine you to determine without doubt the treatments you require.

A plan has to be determined for your implant treatment based on a thorough examination of your oral condition which includes an X-ray and study models of your mouth. Computer simulated planning is also available for multiple implants.

Our doctor will first ensure that your bones and general health condition is ready to receive the implant. Depending on your general health and dental condition, this may include:-

the lowering of your blood sugar level if you are diabetic

putting you on pre\-treatment medication if you have certain heart conditions

performing bone augmentation procedures such as bone grafting, ridge expansion and sinus lift, to enhance bone quantity, * * thickness or depth should the jaw bone condition is not ideal.

A patient without any of the above conditions may commence with implant procedure almost immediately after consultation & examination.

Procedure

The first step in an implant treatment is the placement of the implant in the jaw. This is done via a minor surgical procedure under local anesthesia. Temporary crowns or dentures can be fitted immediately after implantation to restore temporary functions and aesthetics.The implant is then left to heal over a period of 3 to 6 months.

Upon full integration of the implant and bones, an implant abutment which is the core of the replacement tooth (implant prosthesis) is attached to the implant and a crown is prepared.

Recovery

The downtime of this treatment is very minimal. Recovery from the minor surgical procedure is a matter of hours; during which time patients will feel some discomfort and will be put on a soft diet and standard painkillers for about 24 hours.

The healing and integration of the implant itself to the jaw bone will take around 6 – 12 weeks; depending on the health of the patient's jaw bone and oral hygiene' at which time the prosthesis (crown) will be fixed.

Post-op Care

It is important to step up the care of your oral hygiene during the healing period. It is equally important to take care of the restoration, once completed, through optimizing oral hygiene, regular check-ups and professional tooth cleaning, in order to maximize its lifespan beyond 10 years.

Multiple Teeth Restoration with Implant

Multiple missing teeth can be restored by either:

• Placing a set of implant and crown to restore each missing tooth, OR

• Strategically placing one or more implants and filling the gap with a bridge of crowns.

Full Mouth Restorations with Implant

All-on-4 by NobleBiocare

Safe-on-4 by SIC

Both systems are based on a similar concept of a full-arch restoration using only four implants. The technique involves and angulated placement of 4 customized mplant abutments for better retention of a long-span denture or bridge.

Indications

Missing all teeth on upper and/or lower jaw

Benefits

Reduced need for bone grafting

Immediately loaded with temporary restoration for convenience

Suitable for fixed and removable final prosthetic solution

Procedure

The procedure follows the same steps of animplant procedure.

Upon completion of the first stage, a temporary denture or bridge will be fitted